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OBJECTIVE:

To assess women's preferences for contraception after delivery and to compare use with preferences.

METHODS:

In a prospective cohort study of women aged 18–44 years who wanted to delay childbearing for at least 2 years, we interviewed 1,700 participants from eight hospitals in Texas immediately postpartum and at 3 and 6 months after delivery. At 3 months, we assessed contraceptive preferences by asking what method women would like to be using at 6 months. We modeled preference for highly effective contraception and use given preference according to childbearing intentions using mixed-effects logistic regression testing for variability across hospitals and differences between those with and without immediate postpartum long-acting reversible contraception (LARC) provision.

RESULTS:

Approximately 80% completed both the 3-and 6-month interviews (1,367/1,700). Overall, preferences …